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[Time of disappearance of artificial pneumoperitoneum in children. Diagnostic value]
E Keskin1, D Yeker, N Danismend
1Service de Chirurgie Infantile, Cukurova Tip Fakültesi, Adana, Turquie.
Insights
Postoperative pneumascos, or free air in the abdomen, resolves faster in younger children after hernia repair. This study tracked air disappearance in 56 pediatric patients, finding age significantly impacts resolution time.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
Context:
- Postoperative pneumascos following intraoperative diagnostic pneumascos for contralateral hernias is common.
- The exact time for the resolution of pneumascos remains undefined.
- This study investigates the disappearance of pneumascos in pediatric patients.
Purpose:
- To establish a correlation between a child's age and the time of pneumascos disappearance.
- To define a more precise timeline for the resolution of postoperative pneumascos in children.
Summary:
- Fifty-six children undergoing hernia repair with intraoperative diagnostic pneumascos were monitored via abdominal radiographs.
- Pneumascos resolved by postoperative day 4 in infants under 6 months, by day 8 in children aged 6-24 months, and persisted in a small percentage of older children.
- Age is a significant factor influencing the resolution rate of postoperative pneumascos.
Impact:
- Provides crucial data for surgeons regarding expected pneumascos resolution times.
- Helps in the interpretation of postoperative imaging in pediatric hernia repair.
- Contributes to a better understanding of normal postoperative findings in pediatric surgical patients.
Abstract:
Postoperative pneumascos has always been interesting and provocative for surgeons because its "correct" disappearance time still remains ill-defined. Fifty-six children, for whom Golstein's intraoperative diagnostic pneumascos was carried out to demonstrate a contralateral hernia during the correction of a unilateral inguinal hernia, were followed up for disappearance of their pneumascos with abdominal radiographs taken at the 4th postoperative hour and on the 1st, 2nd, 4th and 8th days. The children were divided up into three groups: 9 children were younger than 6 months, 20 were 6 to 24 months old, and 27 were older than age 2. The intraperitoneal free air present in all subjects 4 hours after surgery has completely disappeared from the radiographs of the children younger than 6 months on the fourth day, and on the eighth day for the children aged 6 to 24 months, while a trace of subphrenic air still persisted in the 7% (2 out of 27) of children who were older than age 2. This work is aimed at establishing a correlation between the child's age and the time of disappearance of the pneumascos.